Many men and women experience difficulty urinating. Those who have encountered it once are sure that it is unreasonable to delay contacting a doctor in this situation. A neglectful attitude to such symptoms can cause the development of pathologies in a chronic form and a deterioration in the he alth of the patient as a whole. In some cases, surgery may be required.
Treatment, as well as identifying the causes of difficulty urinating in men, is not fast, it is necessary to quickly make a correct diagnosis based on the examination and receive an effective therapy. In this article, we will consider the causes of pathology, diagnostic methods and types of therapy and prevention.
Reasons in men
There are a number of causes of difficulty urinating in men. The origin of this violation can be very different.nature. It can be both mechanical damage and infection of an infectious nature. Therefore, it is very important to make a correct diagnosis, since the effectiveness of the therapy will depend on this.
Characteristics
In the medical field, difficulty urinating in men is called strangury. This is one of the characteristic signs of dysuria, which refers to problems with urination. The presence of stranguria is determined by a number of signs that accompany the disease. Symptoms of difficulty urinating include:
- Sluggishness and bifurcation of the jet.
- Splashing urine.
- Frequent urge to urinate.
- Discomfort in the genital area and perineum.
Stranguria is a dysfunction that is localized in the urinary tract, so this symptom is a reason to see a doctor.
Women
The difficulty of this process in the fair sex can be observed at any age, but still women aged 30 to 50 suffer more often. This prevalence can be explained by the fact that at this age there is a high risk of progression of pathologies of the genitourinary system.
Difficulties in excreting urine are due to:
- presence of chronic urethritis or cystitis;
- neurogenic bladder dysfunction;
- various neurotic disorders leading to sphincter spasm;
- urinary stenosis;
- urolithiasis;
- violations of the physiological innervation of the bladder;
- hormonal disorders (with PMS, menopause, mastopathy, pathologies of the pituitary, thyroid and adrenal glands, as well as endocrine ailments);
- progression of malfunctions in the reproductive system - the development of adnexitis, fibroids, endometriosis and others;
- prolonged overdistension of the walls of the bladder due to the inability to urinate;
- improper consumption of diuretics;
- presence of tumors in the urinary system, benign or malignant;
- consumption of alcohol in large quantities;
- incorrect use of pharmaceuticals, side effects;
- blocking the lumen of the urethra with blood clots or mucus;
- the presence of ailments with an increase in intra-abdominal pressure;
- presence of degenerative and dystrophic diseases of the brain.
Therapy is prescribed depending on the cause that provoked the violation of urine output. Two methods of treatment are used - conservative and operable. As a rule, conservative methods are applied first.
Diagnosis
Difficulty urinating requires a detailed examination. To find out the reasons, the doctor must collect the patient's history, evaluate the patient's complaints and determine other specific signs of the disease.
The diagnosis goes through several stages:
1. Taking a patient's blood to detect prostate-specific antigen.
2. Palpation of the prostateperforming an ultrasound and biopsy to rule out prostate cancer.
3. If urine and blood tests show the presence of an inflammatory process, a bacterial culture of urine is performed to study the flora and sensitivity to antibacterial drugs.
4. A smear from the urethra. It is carried out in order to determine the causative agent of the disease.
5. Computed tomography is performed to examine the bladder and kidneys, determine the size of the adenoma or the presence of calculi, as well as their location.
6. Urofluometry provides an opportunity to assess the amount of urine, the time of onset and the speed of urination.
7. Ureteroscopy allows you to examine the ureters and urinary canal in order to detect obstructions to normal urination.
In some cases, X-ray examination is also used. Sometimes it may be necessary to consult a neurologist and other specialists.
Treatment with drugs
Treatment of difficulty urinating should be multifaceted and aimed not only at eliminating the symptom, but also at the cause of its occurrence. The duration of the standard treatment regimen can be from ten days to a month. Therapy is carried out both at home and in the hospital. The decision on which therapeutic regimen to choose should be made by the doctor. Self-medication is a danger to human he alth and can cause complications.
If the cause of difficulty urinating is spasms orconvulsive syndrome, the best way to solve the problem is to use sound stimuli. It could be running water in the sink or the sound of a kettle boiling.
The most effective remedies
The most common drugs prescribed to treat urinary difficulty are:
1. Antibacterial drugs.
2. Broad spectrum antibiotics.
3. Urological preparations.
4. Anticholinergics such as Pro-anthin, Oxybutin, etc.
5. Non-steroidal anti-inflammatory drugs.
6. Pain pills.
7. Antispasmodics such as Papaverine, No-shpa, etc.
8. Physiotherapy.
In particularly severe or advanced cases, urinary difficulty in men may require additional measures, including surgery. This may be due to the detection of large calculus formations in the kidneys and bladder, as well as in the presence of an oncological neoplasm. It may also require complete or partial removal of the prostate gland. With a malignant neoplasm, drugs are prescribed that can stop the process of tumor development. Treatment is selected individually, depending on the nature of the disease and its course.
Additional measures
In exceptional cases, to remove fluid accumulated in the bladder, maythe following measures will be needed:
1. Insertion of a catheter into the bladder.
2. Preparations that dissolve stones and facilitate their removal from the body.
3. Crushing stones with ultrasound.
4. Prostate massage through the rectum.
5. Magnetotherapy and electrostimulation treatments.
6. Transplantation of mucosal tissue to expand the urinary canal.
Diet
Among other things, doctors recommend that patients with difficulty urinating follow a special diet. The patient should stop drinking alcohol, carbonated drinks, strong tea and coffee, as well as foods containing caffeine, fatty and spicy foods. Quitting smoking will also help reduce symptoms. If difficulties with urination are detected, it is necessary to stop taking urological, anti-inflammatory and antibacterial drugs.
When a patient sees a doctor in time, who conducts a thorough diagnosis and prescribes the correct treatment regimen, the therapy does not present any particular difficulties and recovery occurs in the vast majority of cases. The main rule is to strictly follow all the prescriptions recommended by the specialist and take all the necessary tests on time to control the ongoing treatment of difficult urination.
Folk remedies
Along with traditional, medical or surgical treatments, can be used with consentthe attending physician with folk remedies. In some cases, traditional medicine is just as effective as traditional treatments. To do this, it is necessary to choose the right methods suitable for a specific diagnosis. You should not stop taking the pills prescribed by your doctor.
Therapy of difficulty urinating can be carried out with the help of decoctions and compresses from herbs and fruits with healing properties. Onion compresses are considered the most effective in folk medicine. They are placed in the lower abdomen for an hour in the morning and evening. You can also take sitz baths for 15 minutes. Warm water allows you to relax the muscles and relieve spasm. Sometimes warm lotions and wraps can be effective.
In addition, folk methods of treatment involve taking decoctions and tinctures. For difficult urination, the following drinks are most effective:
1. Hibiscus (decoction obtained from the fruit of the tea rose).
2. Infusion on the shells, leaves and fruits of the walnut.
3. A decoction of juniper fruits and the use of its fruits.
4. Infusion on the fruits, leaves and flowers of the nettle.
5. Juice obtained from celery root.
6. Infusion on rowan berries.
7. A decoction of birch leaves, honey and white wine.
8. Rosehip infusion.
Some herbalists claim that other folk remedies for the treatment of difficult urination can be effective. For example, rose petal jam isantibacterial agent. Juniper can have a positive effect even when visiting a park where there are these bushes. The air around the juniper is saturated with phytoncides and has a healing effect on the body.
Prevention
Difficulty urinating in women and men can be treated, in most cases, treatment leads to recovery. However, it is easier to follow some preventive measures to avoid such troubles. Experts recommend:
1. Active lifestyle with moderate physical activity and sports.
2. Balanced and proper nutrition.
3. Quitting bad habits such as smoking and drinking.
4. Regular sex.
5. Using barrier methods of contraception to prevent sexually transmitted infections.
6. Preventive visits to the urologist up to 4 times a year.
We looked at how to treat difficult urination.
